Decompression: a first-intention treatment for “large” non-syndromic odontogenic keratocysts

Muret, Marjorie; Malthiéry, Ève; Casenave, Théo; Costes-Martineau, Valérie; Torres, J.

doi:10.1051/mbcb/2020063

Cited by 2 publications

(2 citation statements)

References 43 publications

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“…It was reported that the recurrent rate of OKC treated by decompression followed by enucleation be significantly lower than enucleation alone." (37,55) Another essential things decreasing OKCs recurrence rate are removal of covering oral epithelium, particularly when the cyst is biopsied. Several types of research demonstrate that about whole recurrent OKCs have microcysts in the mucosa covering cortical perforation sites.…”

Section: Microscopical Findingsmentioning

confidence: 99%

Odontogenic Keratocyst

Hamied

Al-Shaikhani

Ali

2021

Al-Kindy Col. Med. J

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Purpose: to review in detail various aspects of odontogenic keratocyst, emphasizing recent nomenclature, clinical, histopathological, recurrence, and management of odontogenic keratocyst. Methods: To achieve the objective of this review, a manual search was done in hard copy books of oral and maxillofacial pathology, and an electronic search was done in the google website, oral and maxillofacial pathology E-books, virtual database sites, such as PubMed, Research Gate, Academia, and Google scholar using the descriptors: odontogenic cyst, kerato odontogenic tumor, odontogenic keratocyst, and jaws cystic lesion. The eligibility criteria for selecting articles were: to be in the English language, studies published in journals, or indexed in these databases until 2021. Exclusion criteria were: articles in any languages other than English, studies presented in duplicate between the bases, whose theme did not contemplate the objective proposed in this review, or those not available in the digital environment. Data collection occurred from October to December 2020, followed by a thorough evaluation of the studies found, including an exploratory, selective, analytical, and interpretative reading. Summary and conclusions: the odontogenic keratocyst is noteworthy because of its unusual growth pattern, the tendency to recur, and association with an inherited syndrome. The renaming of odontogenic keratocysts as keratocystic odontogenic tumors has been one of the most debatable changes in the terminology of odontogenic lesions in recent years. Early diagnose of this lesion is important to perform the more conservative treatment. A wait-and-see policy, with yearly follow-up for the first five years and every two years after that, is strongly advocated.

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Section: Microscopical Findingsmentioning

confidence: 99%

Odontogenic Keratocyst

Hamied

Al-Shaikhani

Ali

2021

Al-Kindy Col. Med. J

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“…Thus, the treatment goal is to first reduce intracystic pressure using decompression techniques, such as decompression with a drain or marsupialization, which should be considered to prevent potential damage. 5 , 6 , 7 , 8 …”

Section: Introductionmentioning

confidence: 99%

Factors affecting the reduction rate of odontogenic cysts after decompression based on 3-dimensional volumetric analysis

Wongrattanakarn,

Trachoo,

Kaboosaya

et al. 2023

Imaging Sci Dent

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Purpose This study aimed to investigate the potential factors that could affect the reduction rate of odontogenic cysts following decompression using cone-beam computed tomography (CBCT) for 3-dimensional volumetric analysis. Materials and Methods The study sample consisted of CBCT images of 41 individuals who underwent decompression of odontogenic cysts at the Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Chulalongkorn University, between 2010 and 2022. Preoperative and postoperative CBCT results were collected, and a volumetric analysis was conducted to evaluate the differences in the reduction rate and the percentage of volume reduction of cystic lesions based on different parameters. Correlations between these parameters were analyzed to determine associations. Results In this study, the average time of decompression for odontogenic cysts was 316 days. Males demonstrated a higher reduction rate than females ( P <0.05). The reduction rate was directly proportional to initial cyst volume, with higher reduction rates for cysts with large initial volume than those with small initial volume ( P <0.05). Spearman's rank correlation coefficient indicated a weak positive correlation between the initial cyst volume and the duration of decompression. Additionally, a strong positive correlation was observed between the initial volume and the reduction rate. Conclusion Knowledge of the reduction rate of odontogenic cysts is vital for surgeons to evaluate the duration of decompression before enucleation and to determine a definitive treatment plan. Sex and initial lesion volume had significant effects on the reduction rate.

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Decompression: a first-intention treatment for “large” non-syndromic odontogenic keratocysts

Cited by 2 publications

References 43 publications

Odontogenic Keratocyst

Odontogenic Keratocyst

Factors affecting the reduction rate of odontogenic cysts after decompression based on 3-dimensional volumetric analysis

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